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HomeMy WebLinkAbout33150-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33128 Date: 06/30/08 THIS CERTIFIES that the building HOT TUB Location of property: 1125 (HOUSE NO.) County Tax Map No. 473889 Section 104 STERLING RD (STREET) Block 1 CUTCHOGUE (HAMLET) Lot 26 Subdivision Fil.ed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fil.ed in this office dated MAY 18, 2007 pursuant to which Building Pennit No. 33150-Z dated JUNE 21, 2007 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is HOT TUB AS APPLIED FOR. The certificate is issued to BETH PIKE (OWNER) of the aforesaid building. SUFFOLK COtJlllTY DEPAR'nmRT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4004104 06/24/08 PLUMBERS CERTIFICATION DATED N/A ~ze~ Rev. 1/81 Sllt, 910 ( i.?5L- 3 Form No.6 # C',~"~,-"""",,,~~ BJ~~g~~~~~~i~T !! ~ tic; ",.1ft~, ~) TOWN HALL . . "I 765-1802_ ,~ . 2 3,. i )i APPLICATION FOR CERTIF1CATE OF OCCup~~yi.TI';_ . .C",' ~ This application must be filled in by typewriter or ink and submitted to the Building Department wiihthe fonow'~! A. For new building or new nse: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swom statement from plumber certifying that the solder used in system contains less than 2/1 0 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. (01 J 3 ) () ~' New Construction: Old or Pre-existing Building: Sky \I-~ r~ House No. St eet Owner or Owners of Property: _~ P \ ~ lay ( check one) C -t+CJ..vJCOR~ ~ Hahuet Location of Property: \ I d'S Suffolk County Tax Map No 1000, Section Block_l Lot d..k, Subdivision Date of Permit. 0 !d.11 \:)/ Filed Map. Lot: Permit No. ~315D Applicant: Health Dept. Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ q/lj-: tV Final Certificate: XJ . (check one) z 331a2.JiV .~~ ~ 7Vfr! lID.lID ~ -) / ~ ~ lOLl, ! ~'?~ ~ NEW YO~k T~~~;;~C~~ o~I~~~~~~~WRITERS ~ ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ ~ :/jl':; ~ ~ CERTIFIES THAT --' ~ I Upon the application of upon premises owned by I ~ ~ ~ BETH PIKE BETH PIKE ~ ~ ~~D ~~~ ~ ~ MATTITUCK, NY 11952 MATTITUCK, NY 11952 ~ ~ Located at 1125 STERLING RD CUTCHOGUE, NY 11935 ~ ~ Application Number: Certificate Number: 4004104 ~ ~ 4004104 ~ ~ Section: Block: Lot: Building Permit: . BDC: n511 ~ ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located inion the premises at: ~ I ~ ~ ~ ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ ~ herein, was conducted in accordance with the requirements of the applicable code andlor standard ~ ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ ~ authority having jurisdiction, and found to be in compliance therewith on the 24th Day of June, 2008. ~ ~ Name OTY Rate Ralin. Circuits ~ ~ ~ AdditionalCharges ~ ~ supply power to self contained portable hot ~ ~ ~ ~ ~ Wiri~~d~~ ~ F.!I GFCI Circu~ Breaker 1 0 15a ~ ~ Reeeptacle 1 0 Gen, Purpose ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ seal ~ ~ 1 of 1 ~ ~ ~ I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I lID.@) FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33150 Z Date JUNE 21, 2007 permission is hereby granted to: BETH PIKE 1125 STERLING RD CUTGHOGUE,NY 11935 for HOT TUB INSTALLATION TO CODE at premises located at 1125 STERLING RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0001 Lot No. 026 pursuant to application dated MAY 18, 2007 and approved by the Building Inspector to expire on DECEMBER 21, 2008. Fee $ 250.00 7 / ;{~ Authorized , Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT . TOWN HALL, SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.netlSouthold/ PERMIT NO. .? -3 di;J C:.- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying') Board ofRealth 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Examined Approved Disapproved alc 1)1 ,20~ ,20Jij Mail to: Expiration 14/(,20tJ( Phone: !cJt~ - ~ .", :(. \...\\ \ APPLICATION FOR BUILDING PERMIT Building Inspector \ '6 ~ . a\ This "\lPplication MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plahs;accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of South old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. _J Date .:sIn ,20~ INSTRUCTIONS - J MM ~OIi~r."E:::L.Y ENCLOS" P(\NTO CODi UPON COMPLETION BEFORE "WATER" ful< a l {J; Ju (Signature of applicant or name, if a corporation) ALL C0o\l51124JCijO;\) MEET THE RE'C()~W"l&Jtr, or CODES OF N(ii l'u,',l\ "T~T~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .).$ , APPROVED AS NOTED BY. # 3.3/ Q):(3 f) y ~ DATE: Name of owner of premises 1./ l't::: .. " UN~~lTtlI1-8!~:URt~?{ latesf." I!' o~ ~rmUJT ^T If applIcant IS a corporalton, sIgnature of duly authon:~dl6l4li...,~~ NC,! - BUI.. ~. . "' _ 'E" IItWIIltli - 765.1802 8 f :. 1 4 ~~~ FO" I H FOllOWiNG i. :SI'EC,- 1. FOUr,DATiON - TI. HEOUiR::D FOR POURED,': ,J,ETE 2. ROUGH - F' ,,:,\';-JG & PLU!~S!NG 3. INSUlAT' .': 4. FINAL. (C'STR' '-,ON !:,UST BE COMPlc "E f . O. ALL CONS"!"Rl:2W " \Ll MEET THE REQUIREMEtHS O~C CODES OF NEW YORI< STATE. NOT h~SPONSIBlE FOR (Name and title ofcorporatecSe~0PANCY OR Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Wi lROOTCERTfftCA TE )F OCCtfPANCY 1. Location of land on which pro 1\;;1'$ 'S '{I House Number osed work will be done: C '3'S_ Hamlet County Tax Map No. 1000 Section Subdivision (Of Block ( M ..fi'i~ Map~"._ Lot ~,";HAq Lot . ,',id"q,... , ._'j::idiM 'J,,'!"'lctt~ ,-_._..<1 lqoll (Name) V1Tlc;, ~ : ....,,! ;1l~ d'SiJf 2. State existing use and occupancy of preIIJfses and intended use and occu ancy of pro a. Existing use and occupancy r R. - b. Intended use and occupancy d/lr1U a < abJN 3. Nature of work (check which applicable): New Building Repair Removal Demolition 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work tfu T TU/2.,-:;- :r:et' ~ivJrlfhp h (Description) Fee r ~'S'O' CJO (To be paid on filing this application) Number of dwelling units on each floor 4. Estimated Cost 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_ , 14. Names of Owner of premises r& 1VI/t..Pll:-e Address II d-<' Sierl"^9 ~ Phone No. 7 3lf -c;; '5 'X' .2 Name of Architect Address Phone No Name of Contractor Address Phone No. IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES ~ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO_ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. I 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. ~l 17. If elevation at any point on property is at 10 feet or below, must provide topogr~~hical data on sUrVe/ 18. Are there any covenants and restrictions with respect to this property? * ';~S ~ * IF YES, PROVIDE A COPY. STATE OF NEW YORK) ~ COUNTY . . i( A I?,/.(f bciftglimy sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform ot 'h~ve performed the said work and to make and file this application; that all statements contained in this application are true to the besf of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn t~fore me this / ~~o~ ....., t w Vortc . Pl\TRICIA CORWIN No. 011:05017852 ....., Puhlir ': .Jte of New _ ClIIIIIdln~County No ."'852 _flIpiIaSlpl.13 -'~"''7 quallfle"",,,iolk Countr '-I CommiSSion Explfes Sepl13,_ ..--.:::.: 33150 Z- TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRucnON REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRAnON c~ ~O~Ef- ~, rsf!/ DATE 1o-i-f--1>-b INSPECTOR ~~ ,,~- - - ---,..--... .------- .-........- ----~.------- ~ #- ~o3 p~ II~S~~ ~, ~ TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRAnON REMARKS: ~-d.L ~ t2--~ c..-~ r 1A~ ~~... ~, 1:-~~:::& DATE S -7 - 0 7 INSPECTOR~' ~ FIELD INSPECTION REPORT DATE I FOUNDATION (1ST) ----------~------------------------- FOUNDATION (2ND) ROUGH FRAMING & PLUMBING COMMENTS -- --- -~-- --.------------ ---------~~--- ------ - INSULATION PERN. Y. -- STATE ENERGY CODE FINAL - ".--ttS" -0 I'i? rr 01 -j-"Ir " .., I.s.. 0 k. .-f=--.h -A...- ~ - . - /11^';/- Jw..-C~. --9 '//7 '1' v ADDITIONAL COMMENTS \J .-- ~ o t -., W'd q/~ - >-I \ - ~~ .z.J;i -~ -::f~ ., ." ~ \ jcJc ~ - OWNER () TOWN OF SOUTHOLD PROPERTY RECORD CARD !oy./..2to e FORMER OWNER ,4. p,. /l, YJla 'IIV' RES. LAND 7d6 . . 'Zoo 70 rulable Noadland ~~ -louse Plat , rotal TOTAL L~~. b -- -- 11-; 0 STREET ,','-:) . l <-c VILLAGE DIST. i SUB. LOT 4 ~ + .v No t "# /2....r Y ffi S" J" clll Fa. (; - ,0;'1/. AC~W1 TYPE OF BUILDING J;.~ ~ 1,,;, N Cc S ,Ji-er /1;' ue Dad W ,c( I IU c1GtJ.1- 1;. COMM. CB. MICS. Mkt. Value FRONTAGE ON WATER FRONTAGE ON ROAD / U 0 f t DEPTH BULKHEAD ?.!iL - 700 .. \........,.,,,,.1 - r .~ CAs _. "- \ l) - , "" f"\ I 1 'l: :>, lib 11 I . ~ Q.~ 0.;) 1* I l I>\-- ~ "'f 104.-1-26 1/06 ~( :11 2- I.. , ill M. Bldg. .l ~~15iOO 2 ~ ""'I~. "q3,(p 5~ S/If'R - ExteMion . ~nslon \0 )( (4 0 /40 ?:,fR. LfqO I'$' Z"e\' Foundation lo,c, Both 2:, Dinette Porch Basement c.., \ Floors K. ./ IIorc:h Ext. Walls ..( .. ,;",( c .<. rior Finish ~(i!- LR. ./ Breezeway Fire Place '/(<-. . ifteat ~~s. . DR. Garage k~'l..jA ' t;2.<e, \~! {CO "ype Roof Rooms 1 st Floor BR. 3 Patio R.creation Room Rooms 2nd Floor FIN. B 0.8. A-L ~~ ~ Dormer Driveway ~ \ Z, 1'GtaI 1/06 . 'LfCf8 1::t... - ~OLOR TRIM t:....~ LAND NOW OR FORI/ERL Y OF CHARLES C, WAITS Jr, IMPROVED SERVICED BY PUBLIC WA TER \ nl"",,,," rr . ~ .." ... fE'" r ~'- r-- - <; \mz CC ~~ ;Ii",,,, cCo ~...", ~t~ tI'J~~ ~""", o...~ ~~"" '0 ~ , z\ N 23,3' ~ l "'~ .l ~ ~\I., ai. , ! , ,. . j 8.:tU'CCHC.IiIOH- 1:< .... N 69'48'50' E 100 00' _ _ N 69'48'50' E 25.05' S-lg, //-///,> ;;t .. P"'I'c"'1 ..r ~ '< z -.. 21r ~ . CONCRETE . FOUNDATION q ,.,' . a " r, ,. . ! . . FEHCEOi'H , F'95~Jll.' - ,- S 69'46'50' W 100.00' S 69'4~50' W 25,OS ""-0 ~t5S STERLING ROAD ~OF!>~VEM::-"NT _._h/,,/, II/PROVED WELL AS SHOWN SANITARY REAR YARD EXACTLOC.UNKNOWN 1:<_ /,\(,01/0" y.,O~ f:'IrAR' IN PIlON crlOC~"'R;'ARO "tJ"", &'m /0 k.e /1,;)5 SfeKLI;)t} (<el, Cu+c ?tcYju( LOT AREA: PARCEL 1: 18.1153 SO.FT. .. 0.417 ACRE ELEVATIONS HEREON REFER TO APPROX, I/SL DA TUI/ AND ARE THE RESULT OF ACTUAL FIELD I/EASURE!/ENTS NO SURFACE WA TER EVIDENT WITHIN 300' OF PARCEL 1 .~ .. ::t-?,_. !l'J,;. B~ ~E. ;~i.' '~ J J !'1r ::r ~' , CERTIFIED TO: BETH PIKE COI/MNWEAL TH LAND TITLE INSURANCE CO, JOB NO, 2004-487 MAP NO. 1179 FILED: !/ARCH 28, 1935 REVISIONS: AOD ROAD ABANDONMENT 11A}112OO4 FOUNDATION lOCA TION 1212<12004 HANDS ON SURVEYING 48 NORTH ROAD ' HAMPTON SA YS, NEW YORK 4ft' 11946 -' TEL (831)-123-1954 - FAX:(631)-723.1329 . MARTIN . HAND ,S C;..Jij _ 5/b -1G 7-('5G3 Q 73L(- 0S7)-;'- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30932 Date: OS/24/05 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1125 (HOUSE NO.) County Tax Map No. 473889 Section 104 STERLING RD (STREET) Block 1.- CUTCHOGUE (HAMLET) Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 2004 pursuant to which Building Permit No. 30807-Z dated NOVEMBER 30, 2004 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH COVERED ENTRY AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to BETH A PIKE (OWNER) of the aforesaid building, 05/19/05 SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RI0-04-0171 ELECTRICAL CERTIFICATE NO. 2043689 05/18/05 PLUMBERS CERTIFICATION DATED 05/18/05 K & K PLUMBING & HEATING m~~~ uthorize Signature Rev. l/al Town Hall, 53095 Main Road P,O, Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD June 26, 2008 Ms. B. Pike 1125 Sterling Road Cutchogue N.Y. 11935 To Whom It May Concern: Weare unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) ~o Electrical Certificate on file. The Check is not on file -$25.00 No Health Department Approval on file. No final inspection has been made. Fax (631) 765-9502 Telephone (631) 765-1802 J . ~ f{'r ~S\) r~\\ W"\' \. S,\e' No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) Certificate of Compliance from Southold Town Trustees. Approval of the Zoning Board of Appeals* Final Planning Board Approval. BP #33150 Hot Tub - EDWARD FORRESTER DIRECTOR OF CODE ENFORCEMENT Southold Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1939 Facsimile (631) 765-6639 e-mail: ed.forrester@town.southold.ny.us TOWN OF SOUTHOLD May 14, 2007 Beth A. Pike PO Box 907 Mattituck NY 11952 Re: Property at 1125 Sterling Road, Cutchogue SCTM# 1000-104-1-26 Dear Ms. Pike, Please be advised that a complaint has been forwarded to this office concerning property you own, referenced above. The Building Inspector has examined the property and determined that a hot tub has been built without a valid Building Permit. This represents a violation of Southold Town Code. Please take the steps necessary to remedy this condition immediately. Should you require information concerning obtaining a permit, contact the Building Department. Thank you for your anticipated cooperation. Sincerely, ~~ J\~ Edward Forrest~ Director of Code Enforcement